| NPI | 1942454582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53674) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-06463) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2019-12-17 |